| NPI | 1255686929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71992) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9723) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2024-05-07 |